@article{oai:shiga-med.repo.nii.ac.jp:00003704,
 author = {高嶋, 直敬 and 有馬, 久富 and 喜多, 義邦 and 藤居, 貴子 and 田中, 佐智子 and 設楽, 智史 and 北村, 彰浩 and 杉本, 喜久 and 漆谷, 真 and 野﨑, 和彦 and TAKASHIMA, Naoyuki and ARIMA, Hisatomi and KITA, Yoshikuni and FUJII, Takako and Tanaka-Mizuno, Sachiko and SHITARA, Satoshi and KITAMURA, Akihiro and SUGIMOTO, Yoshihisa and URUSHITANI, Makoto and NOZAKI, Kazuhiko},
 issue = {3},
 journal = {Journal of Stroke},
 month = {Sep},
 note = {Background and Purpose:
Although numerous measures for stroke exist, stroke remains one of the leading causes of death in Japan. In this study, we aimed to determine the long-term survival rate after first-ever stroke using data from a large-scale population-based stroke registry study in Japan., Methods:
Part of the Shiga Stroke and Heart Attack Registry, the Shiga Stroke Registry is an ongoing population-based registry study of stroke, which covers approximately 1.4 million residents of Shiga Prefecture in Japan. A total 1,880 patients with non-fatal first-ever stroke (among 29-day survivors after stroke onset) registered in 2011 were followed up until December 2016. Five-year cumulative survival rates were estimated using the Kaplan-Meier method, according to subtype of the index stroke. Cox proportional hazards models were used to assess predictors of subsequent all-cause death., Results:
During an average 4.3-year follow-up period, 677 patients died. The 5-year cumulative survival rate after non-fatal first-ever stroke was 65.9%. Heterogeneity was present in 5-year cumulative survival according to stroke subtype: lacunar infarction, 75.1%; large-artery infarction, 61.5%; cardioembolic infarction, 44.9%; intracerebral hemorrhage, 69.1%; and subarachnoid hemorrhage, 77.9%. Age, male sex, Japan Coma Scale score on admission, and modified Rankin Scale score before stroke onset were associated with increased mortality during the chronic phase of ischemic and hemorrhagic stroke., Conclusions:
In this study conducted in a real-world setting of Japan, the 5-year survival rate after non-fatal first-ever stroke remained low, particularly among patients with cardioembolic infarction and large-artery infarction in the present population-based stroke registry., Journal Article},
 pages = {336--344},
 title = {Long-Term Survival after Stroke in 1.4 Million Japanese Population : Shiga Stroke and Heart Attack Registry.},
 volume = {22},
 year = {2020}
}